Jessica Jambor, LISW-S, MSN-RN is a medicare enrolled "Social Worker" in Toledo, Ohio. Her current practice location is
3454 Oak Alley Ct Ste 214, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 740-1836.
Jessica Jambor is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083197123.
Provider's Profile
| Full Name | Jessica Jambor |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 3454 Oak Alley Ct Ste 214, Toledo, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083197123
- Provider Enumeration Date: 09/14/2018
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052841806
- Enrollment ID: I20250207002593
Medical Identifiers
Medical identifiers for Jessica Jambor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083197123 | NPI | - | NPPES |
| 0419536 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.545984 (Ohio) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Jambor allows following entities to bill medicare on her behalf.
| Entity Name | Benevolent Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760201461
PECOS PAC ID: 9234669086
Enrollment ID: O20250207002373 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Jambor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Jambor, LISW-S, MSN-RN
3454 Oak Alley Ct Ste 214,
Toledo, OH 43606-1370
Ph: (419) 740-1836 | Jessica Jambor, LISW-S, MSN-RN
3454 Oak Alley Ct Ste 214,
Toledo, OH 43606-1370
Ph: (419) 740-1836 |
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